: University of Miami Vision Loss Prevention Translational Research Center Vision problems are among the top ten conditions responsible for disability in the US population and approximately half of severe visual impairment is preventable via early detection and treatment. The Centers for Disease Control and Prevention has launched the Vision Health Initiative (VHI) to develop a coordinated national public health framework to address the growing burden of ocular disease and disability in the US. The University of Miami Ocular Epidemiology Research Group (UM-OERG), which has a long-standing interest in health disparities research, is a joint partnership between the Departments of Ophthalmology and Epidemiology, as well as the Bascom Palmer Eye Institute (BPEI), which is consistently rated as one of the nation's best ophthalmic hospitals in the US. The UM-OERG, which includes epidemiologists, heath services researchers, health policy experts, ocular clinician-scientists, biostatisticians, and community health researchers will focus on local underserved populations, (including Hispanic, African-American, and Haitian- American), to evaluate system-level and individual-level factors which enhance and impede access to high quality and cost-effective ocular health care. Four projects are proposed, all in adults 40 years of age and older, which will be modified as necessary in year one in order to develop common metrics across the Translational Research Centers (TRCs);in addition a proposed TRC Network Study is listed: 1) Undertake comprehensive analysis of BPEI medical and billing records to determine treatment patterns for patients with the following disabling ocular conditions: age-related macular degeneration (AMD), cataract, diabetic retinopathy, and open-angle glaucoma, as a function of insurance status, insurance type, ocular diagnosis, and patient socidemographic characteristics;2) Develop and administer health care provider surveys including all Bascom-Palmer ophthalmologists, optometrists, and select ancillary medical personnel, community ocular care providers, and primary care healthcare providers throughout Miami-Dade County with an emphasis on medically underserved areas, in order to assess ocular treatment and referral practices, knowledge of and counseling for risk factors for visual disorders in their patient populations, and barriers to the optimal treatment of ocular conditions;3) Develop and administer waiting room surveys of BPEI ocular patients as well as in select community ocular care clinics;4) Develop and undertake community-based surveys of adults residing in medically underserved populations in Miami-Dade county;and 5) Propose a TRC Network Study which will utilize a """"""""systems-approach"""""""" to integrate and implement into primary care and ocular tertiary health care, clinical practice guidelines for smoking cessation. Research findings will be disseminated locally to targeted underserved populations health care providers via our established UM Health Disparities Outreach Core, and across TRCs via stakeholder meetings in order to inform behavior change and health care practices designed to improve population-level vision health.

Public Health Relevance

Vision problems are among the top ten conditions responsible for disability among US adults. The University of Miami Vision Loss Prevention Translational Research Center (TRC) Study will identify, in a comprehensive manner, patient-level, treatment-level, and system-level factors which interfere with the prevention and optimal treatment of the ocular conditions responsible for the majority of vision loss in this country. The Study team will also disseminate research findings locally and across the two other TRCs in order to inform behavior change and health care practices designed to improve population-level vision health.

Agency
National Institute of Health (NIH)
Institute
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Type
Chronic Disease Control Cooperative Agreement (U58)
Project #
5U58DP002652-04
Application #
8516358
Study Section
Special Emphasis Panel (ZDP1-DYB (05))
Program Officer
Darling, Natalie
Project Start
2010-09-30
Project End
2015-09-29
Budget Start
2013-09-30
Budget End
2014-09-29
Support Year
4
Fiscal Year
2013
Total Cost
$243,469
Indirect Cost
$84,339
Name
University of Miami School of Medicine
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
052780918
City
Coral Gables
State
FL
Country
United States
Zip Code
33146
Asfar, Taghrid; Lee, David J; Lam, Byron L et al. (2018) Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals. Health Educ Behav 45:181-189
McClure, Laura A; Tannenbaum, Stacey L; Zheng, D Diane et al. (2017) Eye Health Knowledge and Eye Health Information Exposure Among Hispanic/Latino Individuals: Results From the Hispanic Community Health Study/Study of Latinos. JAMA Ophthalmol 135:878-882
Tannenbaum, Stacey L; McClure, Laura A; Zheng, D Diane et al. (2016) Ocular screening adherence across Hispanic/Latino heritage groups with diabetes: results from the Ocular SOL ancillary to the Miami site of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). BMJ Open Diabetes Res Care 4:e000236
Murchison, Ann P; Friedman, David S; Gower, Emily W et al. (2016) A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology. Ophthalmic Epidemiol 23:109-15
McClure, Laura A; Zheng, D Diane; Lam, Byron L et al. (2016) Factors Associated With Ocular Health Care Utilization Among Hispanics/Latinos: Results From an Ancillary Study to the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). JAMA Ophthalmol 134:320-9
Owsley, Cynthia; McGwin Jr, Gerald; Lee, David J et al. (2015) Diabetes eye screening in urban settings serving minority populations: detection of diabetic retinopathy and other ocular findings using telemedicine. JAMA Ophthalmol 133:174-81
Asfar, Taghrid; Asfar, Tahgrid; Lam, Byron L et al. (2015) Smoking causes blindness: time for eye care professionals to join the fight against tobacco. Invest Ophthalmol Vis Sci 56:1120-1
Byrne, Margaret M; Parker, Dorothy F; Tannenbaum, Stacey L et al. (2014) Cost of a community-based diabetic retinopathy screening program. Diabetes Care 37:e236-7
Zheng, D Diane; Christ, Sharon L; Lam, Byron L et al. (2014) Visual acuity and increased mortality: the role of allostatic load and functional status. Invest Ophthalmol Vis Sci 55:5144-50
Galor, Anat; Feuer, William; Lee, David J et al. (2012) Depression, post-traumatic stress disorder, and dry eye syndrome: a study utilizing the national United States Veterans Affairs administrative database. Am J Ophthalmol 154:340-346.e2

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